How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $102.33 Median $117.49 Typical High $117.49 | Facility | None | $102.33 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $165.96 | Professional | None (both parts) | $100.00 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $36.31 | Professional | 26 · Professional part | $21.88 | $23.44 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $128.82 | Professional | TC · Technical part | $77.62 | $93.33 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $181.97 Typical High $371.54 | Facility | None | $93.33 | $181.97 | $371.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $91.20 | $144.54 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $24.55 | $34.67 | $56.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $147.91 Median $218.78 Typical High $398.11 | Professional | 50 · Both sides | $147.91 | $218.78 | $398.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $67.61 | $109.65 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $239.88 Typical High $331.13 | Facility | None | $162.18 | $239.88 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $165.96 Typical High $371.54 | Professional | None (both parts) | $104.71 | $165.96 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $27.54 | $43.65 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $125.89 Typical High $295.12 | Professional | TC · Technical part | $77.62 | $125.89 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $263.03 | Professional | None | $134.90 | $177.83 | $263.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $39.81 | $79.43 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $245.47 | Professional | TC · Technical part | $107.15 | $141.25 | $245.47 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $30.20 | $125.89 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $154.88 Typical High $302.00 | Professional | None (both parts) | $95.50 | $154.88 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $24.55 | $38.02 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $120.23 Typical High $239.88 | Professional | TC · Technical part | $72.44 | $120.23 | $239.88 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $58.88 Typical High $66.07 | Professional | 52 · Reduced service | $51.29 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.44 Typical High $26.30 | Professional | 53 · Discontinued | $20.42 | $23.44 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $93.33 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $93.33 | $100.00 |
Where Georgia sits
The same service costs 4.2 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Georgia· 26th of 51
$145
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.